Organization
METROPLEX GERIATRIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY M. HEIGHTEN M.D. (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
9229 LYNDON B JOHNSON FWY, SUITE 250, DALLAS, TX 75243-3405
(972) 739-3097
(972) 739-2673
Mailing address
9229 LYNDON B JOHNSON FWY, SUITE 250, DALLAS, TX 75243-3405
(972) 739-3097
(972) 739-2673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034LM
BCBS
TX
05
—
166991301
—
TX
05
—
166991302
—
TX
Enumeration date
07/17/2006
Last updated
06/10/2008
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